CLARK DENTAL STUDIO, PLLC (NPI# 1336596196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336596196 |
| Entity Type | Organization |
| Organization Name | CLARK DENTAL STUDIO, PLLC |
| Practice Address |
951 Riverfront Pkwy #303 Chattanooga TN 37402-2185 |
| Practice Telephone | 4232667927 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | DR. MATTHEW CLARK (DENTIST/OWNER) |
| Authorized Official Telephone | 7314315613 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9483 | TN | Dental Providers |
| Street Address |
951 RIVERFRONT PKWY #303 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1538585161 | Mark A. Ellis, Dmd, Pllc | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2014-03-06 |
| 1891042461 | Elizabeth Felts Randall | Dentist | 951 Riverfront Pkwy, Suite 102, Chattanooga, TN 37402-2185 | 2012-08-13 |
| 1942510979 | Mcdaniel Orthodontics, P.C. | Dentist | 951 Riverfront Pkwy, Suite 202, Chattanooga, TN 37402-2185 | 2010-10-08 |
| 1063562460 | Chattanooga Periodontics & Dental Implants, PC | Dentist | 951 Riverfront Pkwy, Ste 102, Chattanooga, TN 37402-2185 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093360794 | Dr. Drew Shabo LLC | Dentist | 1309 Panorama Dr, Chattanooga, TN 37421-4770 | 2019-08-08 |
| 1356901946 | Tn Dental Professionals PC | Dentist | 1309 Panorama Dr Ste 101, Chattanooga, TN 37421-4771 | 2019-06-17 |
| 1447743653 | Tyler Fielding Mccubbins | Dentist | 1612 Gunbarrel Rd Ste 102, Chattanooga, TN 37421-4135 | 2018-06-12 |
| 1083134977 | Evan Scott Myers | Dentist | 951 Riverfront Pkwy Ste 101, Chattanooga, TN 37402-2185 | 2017-06-22 |
| 1851829162 | Adam Nathaniel Parker | Dentist | 7030 Lee Hwy Ste 101, Chattanooga, TN 37421-6795 | 2017-05-31 |
| 1770988834 | 32 Dental, LLC | Dentist | 7333 Shallowford Rd, Chattanooga, TN 37421-2627 | 2014-10-30 |
| 1497168579 | Mark S. Cowart, D.d.s. Inc | Dentist | 4355 Highway 58 Ste 103a, Chattanooga, TN 37416-2941 | 2014-06-06 |
| 1447508098 | Frederick H Thompson | Dentist | 4109 Mountain View Ave, Suite 300, Chattanooga, TN 37415-2096 | 2012-08-29 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1316125354 | Mark Stephen Dill | Dentist | 6102 Shallowford Rd Ste 101, Chattanooga, TN 37421-1684 | 2008-02-01 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.